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Chicagoland Home Health Provider, INC.

Home Health in Park Ridge, IL. Organization (NPI-2).

NPI number1326109448
StatusActive
Last updated in NPPESOct 11, 2013

Details

NPI
1326109448
Entity type
Organization (NPI-2)
Legal business name
Chicagoland Home Health Provider, INC.
Organization subpart
No
Enumeration date
Dec 12, 2006
Last updated
Oct 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health101104ILYes
251E00000X Home Health1677304IL
251E00000X Home Health1010421IL

Practice location

2604 Dempster St
Suite 508
Park Ridge, IL 60068-8412

Phone 847-296-3950 · Fax 847-296-3955

Mailing address

2604 Dempster St
Suite 508
Park Ridge, IL 60068-8412

Phone 847-296-3950 · Fax 847-296-3955

Authorized official

Evelyn A. Saplala
Administrator
8472963950

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